Introduction
Optimal pump positioning is important for adequate ventricular unloading
and post-surgical outcomes for patients undergoing ventricular assist
device (VAD) implantation.1 Furthermore, the geometry
of the ventricles and the position of the ventricular septum in patients
with congenitally corrected transposition of the great arteries (ccTGA)
are quite different from those in a structurally normal heart, posing a
unique technical challenge in systemic right ventricular assist device
(RVAD) implantation. Herein we present a case of a 16-year-old male with
ccTGA, whose systemic RVAD (HeartMate IIIĀ® or HM3) implantation was
complicated with the creation of an iatrogenic ventricular septal defect
(VSD), with special focus on surgical and medical managements for severe
systemic right ventricle (RV) dysfunction and torrential systemic
tricuspid insufficiency. Consent was granted by the subject patient to
publish the case report.